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Individual

HENRY Y AU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
433 PLAZA ST, BOGALUSA MEDICAL CENTER, BOGALUSA, LA 70427-3729
(504) 813-1539
Mailing address
40 WALNUT PL, COVINGTON, LA 70433-5731
(985) 893-2930

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1441
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
094522
RN LICENSE
LA
01
1441
TEMP ADVANCED PRACTICE
LA
05
1505544
LA
Enumeration date
06/23/2006
Last updated
11/21/2013
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